Joel A Wetzel, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003123 Issued in MI

Practice address

335 N 120TH Ave
Holland, MI 49424-2118

Phone

(616) 392-5222

Fax

(616) 392-3653

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1659562262
  Medicare reassignment NPD
• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1477745495
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1396710992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-392-5222",
            "fax_number": "616-392-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-392-5222",
            "fax_number": "616-392-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "JOEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAW STATE",
            "identifier": "5601003123",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAW BCBSMI",
            "identifier": "JW003123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Westra
• Hannah Westrate
• Mark Edwin Westrate, LMSW, CAADC, BCD
• Westshore Endodontics PC
• Westshore Endodontics, P.C.
• White Dove Consulting Group, PLLC
• Andrew White, DC
• Donna Joan White, PA-C
• Elizabeth Walters White
• Haley White

• Medical Physician Assistant in Holland, MI
• Providers in Holland, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.